Nika Bellarinatasari
Bagian Mata Fakultas Kedokteran Universitas Islam Sultan Agung (UNISSULA)

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Toxic Optic Neuropathy Due to Metanol in Dr. Sardjito Hospital (Lapen Intoxication) Case Series Bellarinatasari, Nika; Hartono, Hartono
Sains Medika : Jurnal Kedokteran dan Kesehatan Vol 3, No 2 (2011): Juli-Desember 2011
Publisher : Fakultas Kedokteran; Universitas Islam Sultan Agung (UNISSULA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.26 KB) | DOI: 10.30659/sainsmed.v3i2.401

Abstract

Purpose: To describe three cases of toxic optic neuropathy due to methanol.Method: Case seriesResults: There were 3 cases in Dr. Sardjito Hospital. First case, a male, 28 years old, drunk three glasses of lapen about 1 week before he went to hospital. At his first time he came, his vision was no light perception (NLP) for both eyes. Then he hospitalized for a week and got 48 mg methyl prednisolone orally. After 1 month, his vision of the both eyes didn’t improve. From the sample of his drink, we found methanol 4,38% and ethanol 4,91%. Second case, a male, 46 years old, drunk one glass of lapen about 4 days before he went to hospital. His vision was NLP for both eyes. Like the first case, he got the same management, and after 1 month his vision still didn’t improve. From the sample of his drink, we found methanol 12,41% and ethanol 3,74%. Third case, a male, 21 years old, drunk more than 3 glasses of combination of Vodka, lapen, Kratingdaeng, and beer. The visual acuity were 3/60 for the right eye and hand movement (HM) for the left eye. Like the cases before, he got the same management, and after 1 month his vision had improved became 3/60 for the right eye and 2,5/60 for the left eye. Unfortunately, we didn’t have the sample of his drink.Conclusion: Lapen is Yogyakarta home made beverage which contains with methanol. Methanol is toxic liquid that cause toxic optic neuropathy. Blindness is the most common symptom and permanent (Sains Medika, 3(2):177-184).
Effect of triamcinolone acetonide injection on pterygium recurrence in postoperative subconjunctival patients Bellarinatasari, Nika
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2023): June 2023
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v14i1.2202

Abstract

Pterygium is an eye disorder characterized by fibrovascular tissue from the bulbar conjunctiva encroaching on the cornea. Inflammation has been suggested to play a role in the pathogenesis of pterygium, indicated by elevated levels of anti-inflammatory cells and markers. Triamcinolone acetonide is a steroid commonly used to treat eye diseases. This study evaluated the effects of anti-inflammatory triamcinolone acetonide injection after the pterygium surgery. This study included 71 eyes of 71 patients. The patients were divided into two groups: triamcinolone and control group. Each eye received a subconjunctival triamcinolone injection of 2.5 mg/ 0.1 ml or no after pterygium surgery with bare sclera technique. The infusion was done around the excision area. Before and after the surgery, the ocular pressure was evaluated. Topical steroid antibiotics and oral analgesics were administrated. The outcomes were assessed one day, week, three weeks, and one month after surgery under slit-lamp examination and noncontact tonometry. The evaluated outcomes were the presence of fibrovascular tissue and intraocular pressure. This study was done by a surgeon and assisted by a nurse. There are 71 eyes in this study; 10 eyes are lost during follow-up. The 61 eyes were divided into 28 triamcinolone and 33 control group. The recurrence of pterygium was found in 2 (39. 3%) of the triamcinolone group and in (10.7%) of the control group (p=0.16). Eight eyes showed increased ocular pressure, and one patient developed granuloma. Subconjunctival triamcinolone injection after pterygium surgery did not significantly reduce pterygium recurrence.
Kolaborasi Penyuluhan dan Pemeriksaan Kesehatan dalam Upaya Deteksi Dini Penyakit Menular dan Tidak Menular di Muktiharjo Lor, Kota Semarang Masfiyah, Masfiyah; Bellarinatasari, Nika; Istadi, Yani; Suparmi, Suparmi
Jurnal Pengabdian Masyarakat Kedokteran Vol 4, No 2 (2025): Mei
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/abdimasku.4.2.76-85

Abstract

Kelurahan Muktiharjo Lor terletak kawasan industri Kota Semarang yang terdampak polusi udara, tanah, dan air dari aktifitas industri. Daerah ini merupakan daerah yang langganan banjir rob setiap tahunnya, sehingga berpotensi menyebabkan gangguan pernapasan, alergi, dan penyakit kulit. Kegiatan pengabdian kepada masyarakat (PkM) ini bertujuan untuk memberikan penyuluhan dan pemeriksaan kesehatan sebagai upaya deteksi dini penyakit menular dan tidak menular di Kelurahan Muktiharjo Lor. Materi penyuluhan yaitu cuci tangan dan etika batuk, pencegahan mata merah, dan hipertensi. Pemeriksaan kesehatan yang diberikan berupa cek tekanan darah, konsultasi kesehatan, pemberian resep dan obat sesuai keluhan, serta pemeriksaan kadar gula darah sewaktu (GDS), kolesterol, dan asam urat jika dibutuhkan. Peserta PkM 89 orang dengan karakteristik sebanyak 68,5% perempuan dan 53,9 % merupakan lansia (usia ≥ 60 tahun). Penyuluhan yang diberikan bermanfaat meningkatkan pengetahuan dan kesadaran peserta tentang pentingnya deteksi dini dan pencegahan penyakit menular dan tidak menular. Hasil pemeriksaan kesehatan diketahui sekitar 31,5% peserta menderita hipertensi tahap I, 81,6% dari 38 peserta memiliki GDS < 200 mg/dl, 45,5% dari 33 perempuan memiki kadar asam urat> 6, sedangkan pada laki-laki 20% dari 10 memiliki kadar asam urat >7. Pemeriksaan kesehatan yang rutin, menjaga pola makan dan meningkatkan aktifitas fisik, serta menjaga kebersihan diri dan lingkungan perlu terus dilakukan untuk meningkatkan derajat kesehatan individu dan masyarakat.Muktiharjo Lor Village is situated in the industrial area of Semarang City, where it is affected by air, soil, and water pollution resulting from industrial activities. This area is prone to annual tidal flooding, which can cause respiratory issues, allergies, and skin diseases. This community service activity (PkM) aims to provide health education and screenings as an early detection effort for infectious and non-communicable diseases in Muktiharjo Lor Village. The educational topics include handwashing and cough etiquette, prevention of red eyes, and hypertension management. The health screenings conducted include blood pressure checks, health consultations, dispensing medication according to complaints, as well as random blood sugar (GDS), cholesterol, and uric acid tests if necessary. A total of 89 participants attended the community service, comprising 68.5% women and 53.9% elderly individuals (age ≥ 60 years). The health education was beneficial in increasing participants' knowledge and awareness about the importance of early detection and prevention of infectious and non-communicable diseases. The results of health screenings showed that approximately 31.5% of participants had stage I hypertension, 81.6% of 38 participants had GDS levels below 200 mg/dl, 45.5% of 33 women had uric acid levels above 6, while among men, 20% of 10 had uric acid levels above 7. Routine health examinations, maintaining a healthy diet, increasing physical activity, and promoting personal and environmental cleanliness should continue to be encouraged to improve individual and community health status.
Usaha Deteksi Gangguan Penglihatan Siswa SD melalui Kegiatan Pelatihan Pemeriksaan Tajam Penglihatan pada Guru di SDI Siti Sulaechah Bellarinatasari, Nika
Jurnal Pengabdian Masyarakat Kedokteran Vol 3, No 1 (2024): Januari
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/abdimasku.3.1.27-32

Abstract

Gangguan penglihatan pada anak usia sekolah dasar akan berpengaruh pasa masa pembelajaran dan berdampak pada produktifitas di masa dewasa. Pemeriksaan tajam penglihatan (visus) berbasis sekolah diperlukan untuk menapis dan mendiagnosis gangguan penglihatan sejak dini. Guru di SD Islam Siti Sulaechah belum pernah mendapat pelatihan pemeriksaan visus sebelumnya. Solusi permasalahan dari permasalahan di atas adalah memberikan penyuluhan pada guru di SDI Siti Sulaechah tentang gangguan penglihatan pada anak usia sekolah dasar dan pelatihan pemeriksaaan visus pada guru di SDI Siti Sulaechah. Penyuluhan mengenai gangguan penglihatan dan tehnik pemeriksaan tajam penglihatan. Peserta penyuluhan ini adalah guru-guru SDI Siti Sulaechah. Sebelum kegiatan dimulai, peserta mengisi kuesioner pretest yang telah disediakan. Kegiatan berupa presentasi dengan powerpoint, dan praktek pemeriksaan tajam penglihatan menggunakan Snellen chart dan trial lens. Kegiatan diisi dengan sesi tanya jawab. Setelah sesi tanya jawab, kegiatan ditutup dengan peserta mengisi kuesioner post test. Hasilnya, ada peningkatan pemahaman mengenai materi dari sebelum penyuluhan sebesar 50% peserta tidak dapat menjawab dengan benar (salah 2) menjadi 57,1% peserta menjawab semua soal kuesioner dengan benar. Kesimpulannya, telah terjadi peningkatan pemahaman guru-guru tentang gangguan penglihatan dan tehnik pemeriksaan tajam penglihatan.Visual impairment in elementary school age children will affect the learning period and impact productivity in adulthood. School-based visual acuity (visus) examinations are needed to screen and diagnose vision problems early. Teachers at Siti Sulaechah Islamic Elementary School had never received visual inspection training before. The solution to the problem above is to provide education to teachers at SDI Siti Sulaechah about vision problems in elementary school age children and training in visual inspection for teachers at SDI Siti Sulaechah. Education regarding visual impairment and visual acuity examination techniques. The participants in this counseling were SDI Siti Sulaechah teachers. Before the activity begins, participants fill out the pretest questionnaire that has been provided. Activities include presentations using PowerPoint, and practical examination of visual acuity using Snellen charts and trial lenses. The activity was filled with a question-and-answer session. After the question-and-answer session, the activity closed with participants filling out the post test questionnaire. As a result, there was an increase in understanding of the material from before the counseling of 50% of participants not being able to answer correctly (2 wrong) to 57.1% of participants answering all questionnaire questions correctly. In conclusion, there has been an increase in teachers' understanding of visual impairment and visual acuity examination techniques.